| NPI | 1801440045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15005-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019669) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-02-07 |